Being on the Edge of Amputation: Vessel-sparing Approach and Biological Bone Reconstruction in a Toddler with Extremity Rhabdomyosarcoma

Vascular reconstruction leads to surgical difficulties such as acute occlusion and critical leg ischemia in childhood rhabdomyosarcoma (RMS) pressuring on the limb's vascular structures. Finally, amputation is inevitable. Also, use of prostheses to repair bone defects in these cases results in...

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Veröffentlicht in:Ejournal of Cardiovascular Medicine 2021-03, Vol.9 (1), p.70-75
Hauptverfasser: Orhan, Atilla, Aydın, Bahattin Kerem
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container_title Ejournal of Cardiovascular Medicine
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creator Orhan, Atilla
Aydın, Bahattin Kerem
description Vascular reconstruction leads to surgical difficulties such as acute occlusion and critical leg ischemia in childhood rhabdomyosarcoma (RMS) pressuring on the limb's vascular structures. Finally, amputation is inevitable. Also, use of prostheses to repair bone defects in these cases results in long-term failure or complications such as infection. To avoid a catastrophic problem such as amputation, a vessel-sparing approach and biological bone reconstruction may be a solution in these cases. Here, we present a case of total surgical tumor excision that keeps the native vascular and biologic bone reconstruction in a RMS case involving the left thigh in a two-year-old toddler. Keywords: Rhabdomyosarcoma, limb-salvage, vessel-sparing surgery, soft tissue sarcoma
doi_str_mv 10.32596/ejcm.galenos.2020-11-062
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source DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Amputation
Case reports
Chemotherapy
Children & youth
Conflicts of interest
Health aspects
Implants, Artificial
Ischemia
Magnetic resonance imaging
Nitrogen
Prostheses
Prosthesis
Radiation therapy
Rhabdomyosarcoma
Sarcoma
Skin & tissue grafts
Surgery
Surgical techniques
Thrombosis
Toddlers
Tumors
Veins & arteries
title Being on the Edge of Amputation: Vessel-sparing Approach and Biological Bone Reconstruction in a Toddler with Extremity Rhabdomyosarcoma
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